Christopher Robert Charles Wyndham, MD

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

2004-0099 Issued in NM

Practice address

2085 S Pacheco St
Santa Fe, NM 87505-6103

Phone

(505) 984-8012

Fax

(505) 988-1567

NPI assigned

Jun 9, 2005

Last updated

Sep 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Mexico Heart Institute, LLC

  • Cardiovascular Disease Physician
  • Albuquerque, NM
  • NPI 1346242575
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1871597674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022512",
            "telephone_number": "505-841-1000",
            "fax_number": "505-843-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 S PACHECO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056103",
            "telephone_number": "505-984-8012",
            "fax_number": "505-988-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNDHAM",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBERT CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "2004-0099",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NM",
            "license": "2004-0099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "V0548",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ladonna Wright
• Mel Wright
• Rebecca M. Wright, MA LPCC
• Tahoma Wrubleski
• Philip Richard Wyatt, M.D.
• Andrea Leigh Wynn
• Kathryn Susanne Wynne, DDS
• Ying Xiong, CRNA
• Alyson Yacono, DPT, PT, CERT. DN
• Donna Yactor, SLP

• Clinical Cardiac Electrophysiology Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Cardiac Electrophysiology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.